IndividualActive
Benjamin Wiseley, M.D.
NPI 1174919484 · Orthopaedic Surgery Physician · Fond Du Lac, WI
Provider details
- NPI number
- 1174919484
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 66414 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
421 Camelot Dr
Fond Du Lac, WI 54935-8335
Phone: (920) 926-8616
Approximate (ZIP-level) locationGet directions
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Additional practice locations (1)
- Uw Hospital and Clinics600 Highland AvenueMadison, WI 53792-0001Phone: (608) 263-7540
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.